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General NPI Number Information
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NPI Number | 1619285087
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN TREATMENTS
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 301 E CARMEL DR SUITE D-100
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City | CARMEL
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State | IN
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Zip | 46032-2888
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Country | US
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Telephone | 317-641-5183
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Fax | 765-450-6161
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Provider Business Mailing Address
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Address Line | 110 N MUIRFIELD CIR
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City | LEBANON
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State | IN
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Zip | 46052-8182
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Country | US
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Telephone | 317-641-5183
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. PATTANAM SRINIVASAN
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Credential | M.D.
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Telephone | 765-891-0721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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